Provider Demographics
NPI:1700286234
Name:BUONO, DREW ANTHONY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:ANTHONY
Last Name:BUONO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:ISLAND PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11558-1824
Mailing Address - Country:US
Mailing Address - Phone:516-849-1986
Mailing Address - Fax:
Practice Address - Street 1:128 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:ISLAND PARK
Practice Address - State:NY
Practice Address - Zip Code:11558-1824
Practice Address - Country:US
Practice Address - Phone:516-849-1986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059665183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist